| NPI | 1942684063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDALIAS DOMINGUEZ President 787-883-0124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: PR 9886) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |